1447298989 NPI number — AIPING SUI MD AND WEI XU MD, PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447298989 NPI number — AIPING SUI MD AND WEI XU MD, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AIPING SUI MD AND WEI XU MD, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
GAITHERSBURG FAMILY MEDICINE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447298989
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/13/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
604 S FREDERICK AVE
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
GAITHERSBURG
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20877-1242
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-404-6423
Provider Business Mailing Address Fax Number:
240-404-6426

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
604 S FREDERICK AVE
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
GAITHERSBURG
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20877-1242
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
240-404-6423
Provider Business Practice Location Address Fax Number:
240-404-6426
Provider Enumeration Date:
06/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SUI
Authorized Official First Name:
AIPING
Authorized Official Middle Name:
Authorized Official Title or Position:
M.D.
Authorized Official Telephone Number:
240-404-6423

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X , with the licence number:  D0061924 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3818075 . This is a "AETNA PROVIDER ID" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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